HomeMy WebLinkAboutSump Pump Inspection~ ~,
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B.
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub ~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain Q Other
Prior to Inspection:
When was system installed, or most xecently modified? (Date) ~~ and why
~ Home came with system ~ Response to inspection program O Other
Q Water in basement O Previous system failed ,
ROOF LEADERS: ~ Yes ~ No DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes No WINDOW WELLS ~ Yes ~ No
BEAVER SYSTEM l~ Yes No
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer Spring ~ Winter
(check all that apply) How often does pump run? ,~'r
Where does pump discharge to outside? ~ Front Back ~ Side
NOTES:
SUMP PUMP SYSTEM: ~ PASS O FAIL You have 30 days to bring your system into compliance with current
regulations. When you are ready for reinspection, calE~684~9for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes ~No
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: `~1 Z- ~
Resident: Date:
Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: City ~P4rde. ~~
/-- -~
A. BASEMENT ~ Yes ~ No 5UMP BASKET ~ 0~ 1 ~ 2 ~ 3 ~
WATER IN BASKET ~ Yes ~ No SiJMP PUMP ~ 0 1~ 2 ~ 3 ~
WATER IN BA5EMENT (flow over floor) ~ Yes Ca No CI5TERN Q Yes ~ No
a~ :1-•i
A. BASEMENT ~Yes~ No SUMP BASKET ~ 0~ 1 Q 2 ~ 3 ~
WATER IN BASKET Yes ~ No SUMP P P ~ 0 1~ 3~
WATER IN BASEMENT (flow over floor) ~ Yes No CISTERN ~ Yes No
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover wilt
break seal. Skip to Part B of this form.) ~
Discharge Point I~ Laundry tub ~ Sanitary sewer ~Outside
at Inspection: ~ Floor drain ~ Other
B.
C.
D.
NOTES:
SUMP PUMP SYSTEM: ,~~I PASS O FAIL You have 30 days to bring your system into compliance with current
'\ regulations. When you are ready for reinspection, cal! 651/644-1469 for an pointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes No
Where 2s this location?
This area will need t e s th~lear ter discharges to the storm sewer system.
Inspector: Date: ~
~~. Date: ~
Resident: _~. ,, ~y -
Disclaimer: T is visual inspection is done with due diligence to find obvious clear water cross-connections
and does not imply the structure meets all City Codes.
White: Homeowner Yellow: Ciry Pink: HRG
Prior to Inspection: l`
When was system installed, or most recently modified? (Date) `\ and why
~ Home came with system ~ Response to inspection program ~ Other
~ Water in basement ~ Previous system failed
ROOF LEADERS: Q Yes~No DISCHARGE: ~ Near ~ Away
YARD DRAINS ~ Yes ~~~ ~o WINDOW WELLS ~ Yes~' No
BEAVER SYSTEM ~ Yes 1~ No
PROPERTIES WITH 5UMP PUMPS
When does pump run? ~ Fall ~ Summer ,~Spring ~ Winter
(check all that apply) How often does pump run?
V~here does pump discharge to outside? O Front ~Back O Side
,~~ , ,,~.,r
r, y.•
~
`~
1^L~
V
(If no pump, place sticker across edge of sump cover and basement floor so any removal of cover will
break seal. Skip to Part B of this form.)
Discharge Point ~ Laundry tub I~ Sanitary sewer ~ Outside
at Inspection: ~ Floor drain ~ Other
Prior to Inspection:
When w~s system installed, or most recently modified? (Date) 7 and why
~ Home came with system L~ Response to inspection program ~ Other .
Q Water in basement ~ Previous system failed
B. ROOF LEADERS: ~ Yes L~-~ DISCHARGE: ~ Near ~ Away
C. YARD DRAINS ~ Yes C-~"No WINDOW WELLS ~ Yes I~~
BEAVER SYSTEM ~ Yes C~'~T"o
D. PROPERTIES WITH SUMP PUMPS
When does pump run? ~ Fall ~ Summer ~ Spring ~ Winter
(check all that apply) How often does pump run? ~
V~here does pump discharge to outside? ~ Front ~ Back Q Side
NOTES:. • ~'c~~o~•~ . ~?Q k - 4 w~Pr -•-•-•-•-•-•- -•-•---------------•---•-•-•-•-•-•-•-•---•-•-•-•-•--
SUMP PUMP SYSTEM: ~ PASS i3'FAIL You have 30 days to bring your system into compliance with current
" regulations. When you are ready for reinspection, caU 651l644-1469 for an appointment.
Is there another place where clear water enters the sanitary sewer system? ~ Yes L~-'~o
Where is this location?
This area will need to be fixed so the clear water discharges to the storm sewer system.
Inspector: Date: ~ /~- 9 `~
Resident: ~.~:~,c? ~-- 9~-° ~ ~ Date: ~ /.~ - ~ 99 ~
Disclaimer: This vi§`ual inspection is done with due diligence to find obvious clear water cross-connections
and does not imnlv the structure meets all Citv Codes.
White: Homeowner Yeltow: City Pink: HRG
L o v/f'r L .
A. BASEMENT l~-~Y`es ~ No SUMP BASKET O 0 ~1 ~ 2 ~ 3 ~
WATER IN BASKET I~'~'"es ~ No SiJMP PUMP O 0 ~~ 2 17 3~
WATER IN BA5EMENT (flow over floor) ~ Yes ~"6 CISTERN ~ Yes I~Fo